Electrical stimulation system and associated apparatus for securing an electrical stimulation lead in position in a person&#39;s brain

ABSTRACT

In one aspect, an apparatus is provided for securing an electrical stimulation lead in position in a person&#39;s brain. The apparatus includes a flexible disc comprising a substantially radial slot adapted to secure the lead in position within the brain after implantation. The slot is adapted to elastically expand as the lead is inserted into the slot and is also adapted to elastically contract on the lead to secure the lead in position within the brain after implantation. The apparatus further includes a ring adapted to seat within a burr hole formed in the person&#39;s skull. The ring comprises a channel adapted to receive and secure the flexible disc.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.13/184,103, filed Jul. 15, 2011, now U.S. Pat. No. 8,337,511, which is acontinuation of U.S. application Ser. No. 11/010,136, filed Dec. 10,2004, now U.S. Pat. No. 7,981,119, which claims the benefit of U.S.Provisional Application No. 60/528,689, filed Dec. 11, 2003, which isincorporated herein by reference.

TECHNICAL FIELD OF THE INVENTION

This invention relates generally to electrical stimulation systemsdesigned for implantation into a person's body and more particularly toan electrical stimulation system and associated apparatus for securingan electrical stimulation lead in position in a person's brain.

BACKGROUND

Electrical energy is applied to the brain to treat a variety of clinicalconditions such as movement disorders or chronic pain. One method ofdelivering electrical energy to the brain involves inserting anelectrical stimulation lead through a burr hole formed in the skull andthen positioning the lead in a precise location adjacent a target areaof the brain to be stimulated such that stimulation of the target areacauses a desired clinical effect. For example, one desired clinicaleffect may be cessation of tremor from a movement disorder such asParkinson's Disease. A variety of other clinical conditions may also betreated with deep brain stimulation, such as essential tremor, tremorfrom multiple sclerosis or brain injury, or dystonia or other movementdisorders. The electrical stimulation lead implanted in the brain isconnected to an electrical signal generator implanted at a separate sitein the body, such as in the upper chest.

Electrical stimulation leads implanted in the brain require preciseplacement because of the relatively small size of the target area in thebrain and because of the relatively close proximity of othernon-targeted anatomic regions in the brain. One method of achievingprecise placement is through a stereotactic surgical procedure that usesradiographic or fluoroscopic images of the brain to guide the surgeon tothe target area. This may require placement of a three-dimensional frameto the head such that horizontal and vertical coordinates of the targetarea may be compared to radiographic images and precisely located. Otherstereotactic methods may include a frameless procedure. Once the preciselocation of an electrical stimulation lead in the brain is achieved itis important that the lead remain in its precise position to avoidinjury to the brain, reduced effectiveness, or other undesirableeffects. An electrical stimulation lead may be particularly prone tobeing dislodged when a stereotactic frame is disassembled and removedfrom the head, for example, after insertion of the lead. When the frameis being disassembled and removed from around the insertion site, adoctor, nurse, or other clinician must typically attempt to manuallysecure the exposed end of the electrical stimulation lead in an attemptto maintain the precise positioning of the lead in the brain. This isdifficult, if not impossible, to accomplish in practice.

SUMMARY OF THE INVENTION

In one aspect, an apparatus is provided for securing an electricalstimulation lead in position in a person's brain. The apparatus includesa flexible disc including a substantially radial slot adapted to securethe lead in position within the brain after implantation. The slot isadapted to elastically expand as the lead is inserted into the slot andis also adapted to elastically contract on the lead to secure the leadin position within the brain after implantation. The apparatus furtherincludes a ring adapted to seat within a burr hole formed in theperson's skull. The ring includes a channel adapted to receive andsecure the flexible disc.

In another aspect, a method is provided for securing an electricalstimulation lead in position in a person's brain. The method includesinserting into a burr hole formed in the person's skull a ring adaptedto seat within a burr hole. The ring includes a channel adapted toreceive the flexible disc. The slot is adapted to elastically expand asthe lead is inserted into the slot and is also adapted to elasticallycontract on the lead to secure the lead in position within the brainafter implantation. The method further includes inserting the lead intoa slot of the flexible disc. The slot is adapted to elastically expandas the lead is inserted into the slot and is also adapted to elasticallycontract on the lead to secure the lead in position within the brainafter implantation. The method further includes securing the flexibledisc within the channel of the ring to secure the lead in positionwithin the brain after implantation.

In another aspect, an electrical stimulation system is provided forstimulating a person's brain using an electrical stimulation leadimplanted in the person's body. The system includes an electricalstimulation lead adapted for implantation in the brain through a burrhole formed in the person's skull, the lead including one or moreelectrodes operable to stimulate the brain. The system also includes anapparatus for securing the electrical stimulation lead afterimplantation of the lead in the brain. The apparatus includes a flexibledisc including a substantially radial slot adapted to secure the lead inposition within the brain after implantation. The slot is adapted toelastically expand as the lead is inserted into the slot and is alsoadapted to elastically contract on the lead to secure the lead inposition within the brain after implantation. The apparatus alsoincludes a ring adapted to seat within a burr hole formed in theperson's skull. The ring includes a channel adapted to receive andsecure the flexible disc. The system further includes an implantablestimulation source adapted to be coupled to the electrical stimulationlead and to generate electrical signals for transmission to the lead forstimulation of the brain.

In another aspect, a method is provided for implanting an electricalstimulation system into a person's body for stimulating the person'sbrain using an electrical stimulation lead implanted in the person'sbrain. The method includes inserting into a burr hole in the person'sskull a ring adapted to seat within a burr hole. The ring includes achannel adapted to receive the flexible disc. The slot is adapted toelastically expand as the lead is inserted into the slot and is adaptedto elastically contract on the lead to secure the lead in positionwithin the brain after implantation. The method also includes insertingthe electrical stimulation lead into a slot of the flexible disc. Theslot is adapted to elastically expand as the lead is inserted into theslot and is also adapted to elastically contract on the lead to securethe lead in position within the brain after implantation. The methodfurther includes securing the flexible disc within the channel of the ofthe ring to secure the lead in position within the brain afterimplantation. The method further includes implanting into the human'sbody a stimulation source adapted to be coupled to the lead and togenerate electrical signals for transmission to the lead for stimulationof the brain.

Particular embodiments of the present invention may provide one or moretechnical advantages. For example, certain embodiments allow theelectrical stimulation lead to be securely positioned within theperson's brain at any desired angular position within the burr hole.Furthermore, certain embodiments allow the electrical stimulation leadto be securely positioned within the person's brain at any desiredposition within the burr hole. Certain embodiments substantially preventmovement of the electrical stimulation lead after it has been positionedwithin the brain, during subsequent removal of any insertion cannula andstereotactic equipment for example. Certain embodiments may provide all,some, or none of these technical advantages. Certain embodiments mayprovide one or more other technical advantages, one or more of which maybe readily apparent to those skilled in the art from the figures,description, and claims included herein.

BRIEF DESCRIPTION OF THE DRAWINGS

For a more complete understanding of the present invention andadvantages thereof, reference is now made to the following descriptiontaken in conjunction with the accompanying drawings, in which:

FIG. 1A illustrates an exploded view of an example apparatus forsecuring an electrical stimulation lead in position in a person's brain;

FIG. 1B illustrates a top view of an example apparatus for securing anelectrical stimulation lead in position in a person's brain;

FIGS. 2A-2G illustrate an example of using a slot of a flexible disc ofthe example apparatus of FIGS. 1A-1B to secure an electrical stimulationlead in position in a person's brain;

FIGS. 3A-3F illustrate another example of using a slot of a flexibledisc of the example apparatus of FIGS. 1A-1B to secure an electricalstimulation lead in position in a person's brain;

FIGS. 4A-4B illustrate an example of a person undergoing placement of anelectrical stimulation lead using the apparatus of FIGS. 1A-1B;

FIG. 5A illustrates an example electrical stimulation system includingan implantable pulse generator;

FIG. 5B illustrates an example electrical stimulation system including awireless receiver; and

FIG. 6 illustrates example steps for implanting an electricalstimulation system into a person for electrical stimulation of theperson's brain.

DESCRIPTION OF EXAMPLE EMBODIMENTS

FIGS. 1A-1B illustrate an example apparatus 10 for securing anelectrical stimulation lead in position in a person's brain, the leadimplanted in the person's brain through a burr hole formed in theperson's skull. For example, the burr hole may be formed to provideaccess to the brain for implantation of the electrical stimulation leadfor deep brain or other brain stimulation, and apparatus 10 may be usedto secure the lead during and after precise positioning of the lead inthe brain using a stereotactic or other surgical procedure. Theelectrical stimulation lead may be a percutaneous lead having one ormore circumferential electrodes that emit electrical energysubstantially radially in all directions, a laminotomy or “paddle style”lead having one or more directional electrodes that emit electricalenergy in a direction substantially perpendicular to a surface of thelead, or any other suitable lead. As described more fully below, theelectrodes of the electrical stimulation lead are located at one or moresites along a stimulating portion of the lead having a leading end thatenters the skull first and a trailing end that enters the skullthereafter. A connecting portion of the electrical stimulation leadtypically couples the stimulating portion of the lead to an appropriatesource of electrical stimulation that drives the electrodes of the lead.

In one embodiment, apparatus 10 includes a substantially circular ring20, a substantially circular flexible disc 40, and a substantiallycircular cap 50. In other embodiments, ring 20, disc 40, and cap 50 mayhave other suitable shapes. Ring 20 is configured to seat within theburr hole formed in the skull. Ring 20 may include one or more holes 22through which sutures, screws, or other suitable fixators may be placedto secure ring 20 to the scalp or skull. In one embodiment, ring 20includes a channel 24 adapted to receive disc 40 and allow disc 40 torotate within channel 24. The diameter of channel 24 may be slightlysmaller than the diameter of disc 40 such that disc 40 is compressedradially when seated within channel 24. In another embodiment, thediameter of channel 24 may be substantially the same size as thediameter of disc 40 such that disc 40 can rotate within channel 24 withslight resistance. In another embodiment, the diameter of channel 24 maybe smaller than the diameter of disc 40 such that disc 40 can rotatewithin channel 24 with essentially no resistance. Disc 40 may alsoinclude one or more holes 44 adapted to receive a tool for removing disc40 from channel 24 of ring 20. Disc 40 may be formed of any suitablebio-compatible elastomer, polymer, polyurethane, rubber, or othermaterial. In one embodiment, ring 20, disc 40, and cap 50 may bereferred to collectively as a “burr hole cover” or a “burr hole cap.” Inone embodiment, ring 20 may include one or more substantially transversechannels 28 configured to receive the connecting portion of theelectrical stimulation lead such that the connecting portion ispositioned in a channel 28 to lay substantially flat along the skull.Although three channels 28 a, 28 b, and 28 c are illustrated, anyappropriate number of channels 28 may be provided to allow theelectrical stimulation lead to be positioned in a selected channel 28closest to the location of the lead within the burr hole. Each channel28 may include one or more tabs 30 adapted to grip the connectingportion of the electrical stimulation lead to secure it within channel28.

Cap 50 is configured to be-removably secured to ring 20 to secure disc40 in channel 24 and to substantially prevent the upward movement ofdisc 40 within channel 24. In one embodiment, ring 20 includes a notch26 adapted receive and engage a tip 52 of one or more tabs 54 of cap 50to removably secure cap 50 to ring 20. Although three tabs 54 a, 54 b,and 54 c are illustrated, any appropriate number of tabs 54 may beprovided. Notch 26 may be a substantially continuous notch around ring20 or may be a discontinuous notch divided into multiple segments eachadapted to receive and engage a corresponding tab 54. Cap 50 may alsoinclude one or more holes 56 adapted to receive a tool to aid incoupling cap 50 to and uncoupling cap 50 from ring 20. Ring 20 and cap50 may be formed of a bio-compatible polymer, plastic, rubber, metal, orany other suitable material. FIG. 1B shows apparatus 10 with cap 50secured to ring 20.

Disc 40 includes a substantially radial slot 42 adapted to receive andsecure the electrical stimulation lead, as described more fully below.In one embodiment, slot 42 extends radially from the center of disc 40to the perimeter of disc 40, but may be shorter or longer in otherembodiments. Width W of slot 42 is smaller than the diameter of thestimulating portion of the electrical stimulation lead and anyassociated insertion cannula, such as a cannula associated with aneedle. In one embodiment, the electrical stimulation lead has a widthof approximately 55/1000 inch, and slot 42 has a natural width ofapproximately 30/1000 inch and is adapted to expand to a width of atleast approximately 55/1000 inch to receive and secure the lead, asdescribed more fully below. Slot 42 is adapted to elastically expand asthe electrical stimulation lead is inserted into slot 42, and is alsoadapted to elastically contract on the lead to secure the lead inposition in the brain after implantation. Where an insertion cannula isused for insertion of the electrical stimulation lead, this means thatslot 42 is: (1) adapted to elastically expand to receive the cannula asthe cannula is inserted into slot 42, the lead being inserted into slot42 via the cannula; and (2) adapted to elastically contract on andcontinuously grip the cannula until the cannula is removed from thebrain after implantation of the lead and, substantially immediatelyafter the cannula is removed, to elastically contract on andcontinuously grip the lead to secure the lead in position in the brain.For example, a hollow needle may provide such a cannula.

In one embodiment, for any particular distance from the perimeter ofdisc 40 that is shorter than the length of L of slot 42, disc 40 allowsany angular positioning of the electrical stimulation lead within theburr hole because disc 40 can be rotated to receive the lead within slot42 regardless of the position of the lead. Where slot 42 extends fromthe perimeter of disc 40 to at least the center of disc 40 as shown,substantially unlimited positioning of the lead within the burr hole ispossible (i.e. at any distance from the perimeter of disc 40 and at anyangular position).

FIGS. 2A-2F illustrate an example of using a slot 42 in flexible disc 40of apparatus 10 to secure an electrical stimulation lead 100 in positionin the brain. As shown in FIG. 2A, cannula 102 is inserted into thebrain and advanced to the desired depth such that a leading end ofcannula 102 is positioned in the brain in appropriate proximity to thetarget area to be stimulated. Electrical stimulation lead 100 may beinserted along with cannula 102 as shown. Alternatively, electricalstimulation lead 100 may be inserted through cannula 102 after insertionof cannula 102. In either case, the leading end of the stimulatingportion of electrical stimulation lead 100 is positioned within theleading end of cannula 102 and the stimulating portion as a whole ispositioned adjacent the target area.

As shown in FIG. 2B, slot 42 of disc 40 is placed about cannula 102 somedistance above the burr hole. In one embodiment, disc 40 may be orientedabout cannula 102 in any desired manner. As shown in FIG. 2C, disc 40 ismoved downward along cannula 102 and snapped or otherwise pressed intoand seated within channel 24 of ring 20. Slot 42 elastically contractson and continuously grips cannula 102 throughout this procedure, suchthat once electrical stimulation lead 100 has been positioned in thebrain and disc 40 has been seated within ring 20 as shown in FIG. 2D,the position of lead 100 may be precisely maintained.

As shown in FIGS. 2E-2G, cannula 102 is removed, leaving electricalstimulation lead 100 in position in the brain. Slot 42 elasticallycontracts on and continuously grips cannula 102 while cannula 102 isbeing removed, maintaining the precise positioning of electricalstimulation lead 100 in the brain. Substantially immediately aftercannula 102 has been fully removed, slot 42 elastically contracts on andcontinuously grips the trailing end of the stimulating portion ofelectrical stimulation lead 100, continuing to maintain the precisepositioning of lead 100 in the brain. In one embodiment, disc 40 may berotated within channel 24 of ring 20 to allow slot 42 to be variablypositioned to secure electrical stimulation lead 100 and its associatedinsertion cannula 102, providing additional flexibility with respect topositioning of lead 100 within the burr hole.

FIGS. 3A-3F illustrate another example of using a slot 42 in flexibledisc 40 of apparatus 10 to secure an electrical stimulation lead 100 inposition in the brain. Disc 40 is snapped or otherwise pressed into andseated within channel 24 of ring 20. In one embodiment, disc 40 may berotated within channel 24 of ring 20 to position slot 42 according tothe desired position of lead 100 within the burr hole. As shown in FIGS.3A-3C, cannula 102 is inserted into slot 42 and advanced to the desireddepth such that a leading end of cannula 102 is positioned in the brainin appropriate proximity to the target area to be stimulated. Electricalstimulation lead 100 may be inserted along with cannula 102 as shown.Alternatively, electrical stimulation lead 100 may be inserted throughcannula 102 after insertion of cannula 102. In either case, the leadingend of the stimulating portion of electrical stimulation lead 100 ispositioned within the leading end of cannula 102 and the stimulatingportion as a whole is positioned adjacent the target area. Slot 42elastically contracts on and continuously grips cannula 102 throughoutthis procedure, such that once electrical stimulation lead 100 has beenpositioned in the brain, that position may be precisely maintained.

As shown in FIGS. 3D-3F, cannula 102 is removed, leaving electricalstimulation lead 100 in position in the brain. Slot 42 elasticallycontracts on and continuously grips cannula 102 while cannula 102 isbeing removed, maintaining the precise positioning of electricalstimulation lead 100 in the brain. Substantially immediately aftercannula 102 has been fully removed, slot 42 elastically contracts on andcontinuously grips the trailing end of the stimulating portion ofelectrical stimulation lead 100, continuing to maintain the precisepositioning of lead 100 in the brain. In one embodiment, disc 40 may berotated within channel 24 of ring 20 to allow slot 42 to be variablypositioned to receive and secure electrical stimulation lead 100 and itsassociated insertion cannula 102, providing additional flexibility withrespect to positioning of lead 100 within the burr hole.

In one embodiment, slot 42 in disc 40 is provided solely for maintainingthe precise positioning of electrical stimulation lead 100 in the brain.In this embodiment, slot 42 is not provided to help prevent potentialleakage of cerebral-spinal fluid or other substances out of the brainthrough slot 42 and slot 42 is not intentionally sized to help preventsuch leakage. However, in other embodiments, slot 42 may be sized bothto help maintain the precise positioning of electrical stimulation lead100 in the brain and to help prevent leakage of cerebral-spinal fluid orother substances out of the brain.

FIGS. 4A-4B illustrate an example of a person undergoing placement of anelectrical stimulation lead 100 for brain stimulation using stereotacticequipment 104 to guide lead placement and apparatus 10 to secure lead100 in position in the person's brain. As can be appreciated from FIG.4A, electrical stimulation lead 100 is typically coupled to stereotacticequipment 104 during lead placement for increased stability and housedwithin an insertion cannula 102 for insertion into the brain. Usingprior techniques, the precise positioning of electrical stimulation lead100 in the person's brain may be easily disturbed when lead 100 isuncoupled from stereotactic equipment 104 to allow cannula 102 to beremoved from the brain. In contrast, according to the present invention,slot 42 in disc 40 of ring 20 helps to secure electrical stimulationlead 100 in its precise position in the brain despite the uncoupling oflead 100 from stereotactic equipment 104 and removal of cannula 102 fromthe brain. (Cap 40 is not shown in FIG. 4A for clarity). FIG. 4B shows aclose-up view of stimulating portion 112 of electrical stimulation lead100, with electrodes 114, after insertion through slot 42 in disc 40 viacannula 102 and subsequent removal of cannula 102. The connectingportion 116 of electrical stimulation lead 100 is positioned in atransverse channel 28, such as channel 28 b, of ring 20 to laysubstantially flat on the skull. Removable cap 50 is coupled to ring 20to secure disc 40 in channel 24 and to substantially prevent the upwardmovement of disc 40 within channel 24 when the cannula 102 is removedfrom slot 42 and to additionally help to prevent both leakage from theburr hole and entry of contaminants into the burr hole whereappropriate.

FIGS. 5A-5B illustrate example electrical stimulation systems 110 foruse with apparatus 10. Stimulation system 110 generates and applies astimulus to a target area of a person's brain. In general terms,stimulation system 110 includes an implantable electrical stimulationsource 112 and an implantable electrical stimulation lead 100 forapplying the stimulation signal to the target brain tissue. Inoperation, both of these primary components are implanted in theperson's body. Stimulation source 112 is coupled to a connecting portion116 of electrical stimulation lead 100. Stimulation source 112 controlsthe electrical signals transmitted to electrodes 118 located on astimulating portion 120 of electrical stimulation lead 100, locatedadjacent the target brain tissue, according to suitable signalparameters (e.g., duration, intensity, frequency, etc.). A doctor, thepatient, or another user of stimulation source 112 may directly orindirectly input signal parameters for controlling the nature of theelectrical stimulation provided.

In one embodiment, as shown in FIG. 5A, stimulation source 112 includesan implantable pulse generator (IPG). An example IPG may be onemanufactured by Advanced Neuromodulation Systems, Inc., such as theGenesis® System, part numbers 3604, 3608, 3609, and 3644. In anotherembodiment, as shown in FIG. 5B, stimulation source 112 includes animplantable wireless receiver. An example wireless receiver may be onemanufactured by Advanced Neuromodulation Systems, Inc., such as theRenew® System, part numbers 3408 and 3416. The wireless receiver iscapable of receiving wireless signals from a wireless transmitter 122located external to the person's body. The wireless signals arerepresented in FIG. 5B by wireless link symbol 124. A doctor, thepatient, or another user of stimulation source 112 may use a controller126 located external to the person's body to provide control signals foroperation of stimulation source 112. Controller 126 provides the controlsignals to wireless transmitter 122, wireless transmitter 122 transmitsthe control signals and power to the wireless receiver of stimulationsource 112, and stimulation source 112 uses the control signals to varythe signal parameters of the electrical signals transmitted throughelectrical stimulation lead 100 to the stimulation site. An examplewireless transmitter 122 may be one manufactured by AdvancedNeuromodulation Systems, Inc., such as the Renew® System, part numbers3508 and 3516.

FIG. 6 illustrates example steps that may be used to implant an examplestimulation system 110 into a person for electrical stimulation of theperson's brain. The skull is first prepared by exposing the skull andcreating a burr hole in the skull. Ring 20 may, but not need, be rotatedwithin the burr hole so that a transverse channel 28 of ring 20 may beproperly aligned with connecting portion 116 of electrical stimulationlead 100 when connecting portion 116 is subsequently laid substantiallyflat along the skull. Ring 20 is then fixed to the scalp or skull usingsutures, screws, or other suitable fixators placed through holes 22 ofring 20. Stereotactic equipment 104 suitable to aid in placement ofelectrical stimulation lead 100 in the brain may be positioned aroundthe head. Insertion cannula 102 for electrical stimulation lead 100 isinserted into the brain. For example, a hollow needle may providecannula 102. Cannula 102 and electrical stimulation lead 100 may beinserted together or lead 100 may be inserted through cannula 102 aftercannula 102 has been inserted. Using stereotactic imaging guidance orotherwise, electrical stimulation lead 100 is then precisely positionedwithin the brain.

Slot 42 of disc 40 is placed about cannula 102 some distance above theburr hole. In one embodiment, disc 40 may be oriented about cannula 102in any desired manner. Disc 40 is moved downward along cannula 102 andsnapped or otherwise pressed into and seated within channel 24 of ring20. Once electrical stimulation lead 100 has been positioned in thebrain and disc 40 has been seated within ring 20 to secure lead 100,lead 100 is uncoupled from any stereotactic equipment 104, and cannula102 and any stereotactic equipment 104 are removed. Where stereotacticequipment 104 is used, cannula 102 may be removed before, during, orafter removal of stereotactic equipment 104.

Cap 50 of apparatus 10 is removably secured to ring 20 to secure disc 40in channel 24 of ring 20 and to substantially prevent upward movement ofdisc 40 as cannula 102 is being removed. As cannula 102 is withdrawn,slot 42 of disc 40 contracts on and continuously grips cannula 102 tohelp maintain the precise positioning of electrical stimulation lead 100in the brain. Substantially immediately after cannula 102 has been fullyremoved, slot 42 contracts on and continuously grips electricalstimulation lead 100 to continue to help maintain the precisepositioning of lead 100 in the brain. Connecting portion 116 ofelectrical stimulation lead 100 is placed into channel 28 within ring 20of apparatus 10 and laid substantially flat along the skull.

Once electrical stimulation lead 100 has been inserted and secured, lead100 extends from the lead insertion site to the implant site at whichstimulation source 112 is implanted. The implant site is typically asubcutaneous pocket formed to receive and house stimulation source 112.The implant site is usually positioned a distance away from theinsertion site, such as near the buttocks or another place in the torsoarea. Once all appropriate components of stimulation system 110 areimplanted, these components may be subject to mechanical forces andmovement in response to movement of the person's body. A doctor, thepatient, or another user of stimulation source 112 may directly orindirectly input signal parameters for controlling the nature of theelectrical stimulation provided.

Although example steps are illustrated and described, the presentinvention contemplates two or more steps taking place substantiallysimultaneously or in a different order. In addition, the presentinvention contemplates using methods with additional steps, fewer steps,or different steps, so long as the steps remain appropriate forimplanting an example stimulation system 110 into a person forelectrical stimulation of the person's brain.

Although the present invention has been described with severalembodiments, a number of changes, substitutions, variations,alterations, and modifications may be suggested to one skilled in theart, and it is intended that the invention encompass all such changes,substitutions, variations, alterations, and modifications as fall withinthe spirit and scope of the appended claims.

1-6. (canceled)
 7. A method for implanting an electrical stimulationlead in position to stimulate tissue in a person's brain, comprising:inserting, into a burr hole formed in the person's skull, a burr holering system adapted to seat within the burr hole, wherein (i) the burrhole ring system comprises a lead securing member comprising respectiveopposing surfaces, and (ii) the lead securing member is adapted tocontract to secure the electrical stimulation lead between therespective opposing surfaces; inserting a cannula through the leadsecuring member; engaging the cannula by the lead securing member tosecure the cannula between the respective opposing surfaces; positioningthe electrical stimulation lead through the cannula such that electrodesof the lead are disposed relative to a selected area of the person'sbrain to apply stimulation pulses to the selected area; and withdrawingthe cannula while retaining the electrical stimulation lead in place,wherein the lead securing member automatically contracts about thestimulation lead as the cannula is withdrawn to hold the stimulationlead in place to stimulate the selected area of the person's brain. 8.The method of claim 7 wherein the burr hole ring system comprises a burrhole ring that is adapted to be secured to the patient's skull and thelead securing member is adapted to be placed within the burr hole ring.9. The method of claim 8 further comprising: securing the burr hole ringwith surgical screws to the patient's skull; and placing the leadsecuring member within the burr hole ring after securing the burr holering to the patient's skull.
 10. The method of claim 8 wherein the leadsecuring member is adapted to permit positioning of the respectiveopposing surfaces at any desired angular orientation relative to theburr hole ring.
 11. The method of claim 8 wherein the burr hole ring isadapted to apply a circumferential compression to the lead securingmember when the lead securing member is placed within the burr holering.
 12. The method of claim 7 wherein the respective opposing surfacesextend from a perimeter position on the lead securing member to aninterior portion of the lead securing member.